Food for thought. I follow this model as it has the best short- and long-term results. --Laura​"In a qualitative study exploring the characteristics of expert clinicians, defined by their better outcomes rather than their years of experience, it was the use of a patient-centered approach to care that distinguished the expert from the average clinician (Resnick and Jensen 2003). In a patient-centered approach a primary aim is empowerment of the patient and increasing self-efficacy, 'accomplished through patient education, avoiding passive modalities, minimizing unnecessary visits, and helping patients to develop self-management strategies' (Resnick and Jensen 2003). All these elements have always been at the core of mechanical diagnosis and therapy (McKenzie 1981, 1990).